Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



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Baccalaureate and Graduate Nursing

First Advisor

Jill Cornelison

Department Affiliation

Baccalaureate and Graduate Nursing

Second Advisor

Nancy G. Owens

Department Affiliation

Baccalaureate and Graduate Nursing


Health literacy status can affect an individual’s ability to self-monitor and manage chronic conditions. It is not uncommon for patients to have difficulty comprehending key patient instructions. The role of the nurse in the hospital setting encompasses many facets which include patient teaching. Providing effective patient teaching is one role that many nurses do not feel confident in implementing. A sample of (N=18) nurses participated in on-line educational program to improve conviction and confidence in use of the teach-back method for delivery of discharge instructions. A pretest-posttest design was utilized and measured nurses’ conviction and confidence using the Conviction and Confidence Scale (CCS) survey. No statistically significant increase in conviction or confidence scores of participants was noted from pre-testing to post-testing. The survey also measured teach-back behaviors of participants. There was a notable increase of 72% in post-test intervention scores in the use of the teach-back behavior of asking the patient to explain what they were taught. This element is the foundation of the teach-back method.

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Nursing Commons